Individual
RYAN FOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC-L CSCS
Contact information
Practice address
3584 W 9000 S, WEST JORDAN, UT 84088-5710
(801) 568-3480
(801) 568-3482
Mailing address
3584 W 9000 S, WEST JORDAN, UT 84088-5710
(801) 568-3480
(801) 568-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000004896
UT
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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